28May 2018

ANALYTICAL PILOT PROJECT ON POSER-PEDIATRIC ORTHOPAEDIC SURGERIES BASED ON ETIOLOGY RETROSPECTIVELY AT A TERTIARY REFERRAL HEATH CARE CENTER IN NORTH EASTERN INDIA.

  • Associate Professor, Dept of Orthopedics & Trauma, NEIGRIHMS, Shillong.
  • Physiotherapist, Dep‟t of Orthopedics & Trauma, NEIGRIHMS, Shillong.
  • Assistant Professor, Department of Biophysics, Delhi University (South Campus), New Delhi.
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Introduction: The various pediatric problems encountered in children fall into the categories of trauma, metabolic disorders, infections and congenital groups etc. The management of these conditions varies from medical to surgical or both, based on requirements of the presenting problem. Aim: The study aims at finding out the demographic profile and aetiology of various paediatric orthopaedic problems for which surgical interventions are undertaken at North Eastern Indira Gandhi regional Institute of Health & Medical sciences (NEIGRIHMS), Shillong. Materials and Methods: The retrospective study for ?POSER-Paediatric Orthopaedic Surgeries Based on Etiology Retrospectively? at a tertiary referral heath care center in North Eastern India was conducted encompassing the period of six years from January?2012-December?2017 in the Orthopaedics department at North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong, India. Patients who underwent various Orthopaedic surgeries in the age group upto 18 years were evaluated. Patients who underwent surgeries multiple times due to some complication related to the previous intervention or the disease itself were excluded while numbering them in collecting the data. Conclusion: Our study has highlighted various paediatric orthopaedic disorders based on etiology and their gender as may be found in a setting of a tertiary health care facility for which surgical interventions are required. This revelation may go a long way in designing the pediatric surgery training curriculum for the medical students undergoing training in the subspecialty of paediatric orthopaedics and also to formulate preventive strategies for problems wherever applicable. However, more detailed prevalence of various childhood bone and joint as reflected through data of our patients and to plan out pediatric orthopaedic health care facility in a region. dirsorders may help in formulating training modules for the medical students

  1. L. Akinyoola, O.O. Adegbehingbe And O.J. Ogundele. Factors influencing the outcome of elective paediatric orthopaedic operations in Ile-Ife, Nigeria Tanzania. Journal of Health Research, Vol. 10, No. 2, April, 2008, pp. 68-72
  2. Burnette JB,?Ebramzadeh E,?Lee JL,?Galanti S,?Hoffer MM. Incidence of inpatient surgeries in children and young adults with childhood orthopaedic diagnoses. J Pediatr Orthop.?2004 Nov-Dec;24(6):738-41.
  3. Bowley DM, Rogers TN, Meyers T, et al. Surgeons are failing to recognize children with HIV infection. J Pediatr Surg. 2007;42:431?4.
  4. SL Dorman, SM Graham, J Paniker, S Phalira, and WJ Harrison. Establishing a children\'s orthopaedic hospital for Malawi: A review after 10 years. Malawi Med J. 2014 Dec; 26(4): 119?123.
  5. Malawi Population data sheet 2012. Population reference bureau [14/07/13]. http://www.prb.org/pdf12/malawi-datasheet-2012.pdf.
  6. Engelhardt P. Natural course of epiphysiolysis of the femur head. Der Orthopade 1994;23:195?9.
  7. Katz DA. Slipped capital femoral epiphysis: the importance of early diagnosis. Pediatr Ann. 2006;35:102?11.
  8. Abraham E, Gonzalez MH, Pratap S, et al. Clinical implications of anatomical wear characteristics in slipped capital femoral epiphysis and primary osteoarthritis. J Pediatr Orthop. 2007;27:788?95.
  9. Connolly P, Weinstein SL. The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip. Acta Orthop Traumatol Turcica. 2007;41(Suppl 1):54?9.
  10. Fernandez CA, Dolan LA, Weinstein SL, Morcuende JA. Natural history of type III growth disturbance after treatment of developmental dislocation of the hip. Iowa Orthop J. 2008;28:27?35.
  11. Murray KA, Crim JR. Radiographic imaging for treatment and follow-up of developmental dysplasia of the hip. Semin Ultrasound CT MR. 2001;22:306?40.
  12. Sibinski M, Synder M, Pruszczynski B. [Hip joint development after closed reduction, complicated by growth disturbance of the capital femoral epiphysis] Chir Narzadow Ruchu Ortop Pol. 2006;71:33?6.
  13. Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am. 1980;62:876?88.
  14. Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;(417):112?20.
  15. Wagner S, Hofstetter W, Chiquet M, et al. Early osteoarthritic changes of human femoral head cartilage subsequent to femoro-acetabular impingement. Osteoarthritis Cartilage. 2003;11:508?18.
  16. Murphy S, Tannast M, Kim YJ, et al. Debridement of the adult hip for femoroacetabular impingement: indications and preliminary clinical results. Clin Orthop Relat Res. 2004;(429):178?81.
  17. Tanzer M, Noiseux N. Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res. 2004;(429):170?7.
  18. Bittersohl B, Hosalkar HS, Kim YJ, et al. Delayed gadolinium-enhanced magnetic resonance imaging (dGEMRIC) of hip joint cartilage in femoroacetabular impingement (FAI): Are pre- and postcontrast imaging both necessary? Magnetic resonance in medicine: official journal of the Society of Magnetic Resonance in Medicine. Magn Reson Med. 2009;62:1362?7.
  19. Wenger DR, Kishan S, Pring ME. Impingement and childhood hip disease. J Pediatr Orthop B. 2006;15:233?43.
  20. Scott RD. Total hip and knee arthroplasty in juvenile rheumatoid arthritis. Clin Orthop Relat Res. 1990;(259):83?91.
  21. Hyman BS, Gregg JR. Arthroplasty of the hip and knee in juvenile rheumatoid arthritis. Rheumat Dis Clin North Am. 1991;17:971?83.
  22. Spencer CH, Bernstein BH. Hip disease in juvenile rheumatoid arthritis. Curr Opin Rheumatol. 2002;14:536?41.
  23. Yun AG, Figgie M, Dorr LD, Scott RD. Hip disease in juvenile rheumatoid arthritis. 2006;29:233?9. quiz 40-1.
  24. Lim SJ, Park YS. Modular cementless total hip arthroplasty for hip infection sequelae. 2005;28:s1063?8.
  25. Grill F, Rustler T. [Late sequelae of coxitis in infants] Der Orthopade. 1997;26:848?57.
  26. Hallel T, Salvati EA. Septic arthritis of the hip in infancy: end result study. Clin Orthop Relat Res. 1978;(132):115?28.
  27. Dudkiewicz I, Salai M, Chechik A, Ganel A. Total hip arthroplasty after childhood septic hip in patients younger than 25 years of age. J Pediatr Orthop. 2000;20:585?7.
  28. Werner A, Jager M, Schmitz H, Krauspe R. Joint preserving surgery for osteonecrosis and osteochondral defects after chemotherapy in childhood. Klin Padiatr. 2003;215:332?7.
  29. Hernigou P, Galacteros F, Bachir D, Goutallier D. Deformities of the hip in adults who have sickle-cell disease and had avascular necrosis in childhood. A natural history of fifty-two patients. J Bone Joint Surg Am. 1991;73:81?92.
  30. Mattes T, Fraitzl C, Ostertag O, Reichel H. Differential diagnoses of avascular necrosis of the femoral head. Articular groin pain in adults. Der Orthopade. 2007;36(414):6?22.
  31. Troum OM, Crues JV., 3rd The young adult with hip pain: diagnosis and medical treatment, circa 2004. Clin Orthop Relat Res. 2004;(418):9?17.
  32. Givon U, Bowen JR. Chronic slipped capital femoral epiphysis: treatment by pinning in situ. J Pediatr Orthop B. 1999;8:216?22.
  33. Clohisy JC, Beaule PE, O\'Malley A, et al. Hip disease in the young adult: current concepts of etiology and surgical treatment. J Bone Joint Surg Am. 2008;90:2267?81.
  34. Mukesh Sharma, K. Lahoti, Gaurav Khandelwal, R. K. Mathur, S. S. Sharma, and Ashok LaddhaEpidemiological trends of pediatric trauma: A single-center study of 791 patients. J Indian Assoc Pediatr Surg. 2011 Jul-Sep; 16(3): 88?92. doi:? 10.4103/0971-9261.83484
  35. Scheidt PC, Harel Y, Trumble AC, Jones DH, Overpeck MD, Bijur PE. The epidemiology of nonfatal injuries among US children and youth. Am J Public Health. 1995;85(7):932?938. doi: 10.2105/AJPH.85.7.932.
  36. Walsh SS, Jarvis SN, Towner EM, Aynsley-Green A. Annual incidence of unintentional injury among 54,000 children. Inj Prev. 1996;2(1):16?20. doi: 10.1136/ip.2.1.16.
  37. Landin LA. Epidemiology of children?s fractures. J Pediatr Orthop B. 1997;6(2):79?83. doi: 10.1097/01202412-199704000-00002.
  38. Gillespie WJ. Racial and environmental factors in acute haematogenous osteomyelitis in New Zealand. N Z Med J. 1979;90(641):93?95.
  39. Anna Brischetto, Grace Leung, Catherine S. Marshall and Asha C. Bowen A Retrospective Case-Series of Children With Bone and Joint Infection From Northern Australia Medicine (Baltimore). 2016 Feb;95(8):e2885. doi: 10.1097/MD.0000000000002885
  40. Beal AC, Co JT, Dougherty D, Jorsling T, Kam J, Perrin J, Palmer RH. Quality measures for children?s health care. 2004;113:199?209.

[Sharat Agarwal, P Rajith and Manish Kumar. (2018); ANALYTICAL PILOT PROJECT ON POSER-PEDIATRIC ORTHOPAEDIC SURGERIES BASED ON ETIOLOGY RETROSPECTIVELY AT A TERTIARY REFERRAL HEATH CARE CENTER IN NORTH EASTERN INDIA. Int. J. of Adv. Res. 6 (May). 1261-1269] (ISSN 2320-5407). www.journalijar.com

Dr. Sharat Agarwal
Associate Professor, Department of Orthopaedics & Trauma, North eastern Indira Gandhi regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong

DOI:

Article DOI: 10.21474/IJAR01/7154      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7154

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